JULIE ANNE REZAC (PA-C) – Surgical Physician Assistant, NPI 1063922516
Surgical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,032 PHYSICIAN ASSISTANT in MN
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Provider Addresses for JULIE ANNE REZAC (PA-C)
17111, Round Lake Road, Round Lake Estates, Eden Prairie, Hennepin County, Minnesota, 55346, United States
EDEN PRAIRIE, MN 553464352
Phone: (952) 649-1485
Type: Mailing
710 COMMERCE DR STE 200
WOODBURY, MN 551254925
Phone:
Type: Mailing
Apple Valley Medical Center, 14655, Galaxie Avenue, Cedar Isle Estates, Apple Valley, Dakota County, Minnesota, 55124, United States
APPLE VALLEY, MN 551248602
Phone: (952) 432-4141
Type: Location
3580 ARCADE ST
VADNAIS HEIGHTS, MN 551277135
Phone: (651) 968-5201
Fax: (651) 968-5903
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2017-11-16
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20171116000013 | I | Physician Assistant | MN | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 104 | 101 | $0 |
| J1040 | Injection, methylprednisolone acetate, 80 mg | 46 | 37 | $0 |
| 20610 | Aspiration and/or injection of fluid from large joint | 40 | 40 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 36 | 36 | $0 |
| 72100 | X-ray of lower and sacral spine, 2-3 views | 31 | 31 | $0 |
Insurance plans in this area (ZIP 55346)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | MN | |
| Physical Therapist In Private Practice | MN | |
| Physical Therapist In Private Practice | MN | |
| - | MN | |
| - | MN | |
| Orthopedic Surgery | MN | |
| - | MN | |
| Physical Therapist In Private Practice | MN | |
| Physical Therapist In Private Practice | TX | |
| Physical Therapist In Private Practice | MN |
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